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DERMATOLOGY CONSULTANTS AT NEWTON-WELLESLEY PC NPI 1174729628


NPI Information

NPI: 1174729628
Provider Name: DERMATOLOGY CONSULTANTS AT NEWTON-WELLESLEY PC

Former Legal Business Name: FRANCIS RENNA, M.D. AND ASSOCIATES

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

CLIA Number: 22D0685808

Address:
2000 WASHINGTON ST
B120
NEWTON LOWER FALLS, MA
ZIP 02462
Phone: (617) 969-0210
Get Directions

DERMATOLOGY CONSULTANTS AT NEWTON-WELLESLEY PC is a procedural dermatology dermatology in Newton Lower Falls, MA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DERMATOLOGY CONSULTANTS AT NEWTON-WELLESLEY PC NPI is 1174729628. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Francis Renna, M.d. And Associates.

The provider's business location address is:

2000 WASHINGTON ST
B120
NEWTON LOWER FALLS, MA
ZIP 02462-602
Phone: (617) 969-0210
Fax: (617) 527-6019

The provider's authorized official is Francis S Renna .
The authorized official title is Owner and has the following contact phone number (617) 969-0210.

The CLIA number assigned to this NPI record is 22D0685808 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/22/2007 and was last updated on 3/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NS0135XDermatologyProcedural Dermatology36142MASSACHUSETTSNo
2207NS0135XDermatologyProcedural DermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B33410MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSSINGLE PROVIDER
29773479MEDICAIDMASSACHUSETTS
3W67273MEDICARE UPINMASSACHUSETTS
43012883MEDICAIDMASSACHUSETTS
5M15981MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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